Provider Demographics
NPI:1003166067
Name:PATEL, SWETA ATULKUMAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SWETA
Middle Name:ATULKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1621 BRADMERE LN
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-3253
Mailing Address - Country:US
Mailing Address - Phone:706-975-9581
Mailing Address - Fax:770-745-7063
Practice Address - Street 1:1621 BRADMERE LANE
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-0000
Practice Address - Country:US
Practice Address - Phone:706-975-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH026792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist